EVALUATION OF QUALITY OF LIFE IN PATIENTS AFTER SURGICAL TREATMENT OF POSTOPERATIVE VENTRAL HERNIAS
Introduction: Postoperative ventral hernias remain one of the most common and socially significant problems in abdominal surgery. Despite advances in surgical techniques, the incidence of complications and recurrences remains high, while patients’ quality of life is considerably reduced. In recent years, increasing attention has been paid not only to immediate surgical outcomes but also to the assessment of functional and psychoemotional aspects of postoperative rehabilitation.
Objective: To evaluate the quality of life of patients after traditional surgical treatment of postoperative ventral hernias and after the proposed hernioplasty technique.
Methods: The study included 81 patients who underwent surgical treatment for postoperative ventral hernia. The main group (n = 42) underwent autodermoplasty using the patient’s own tissues, while the control group (n = 39) underwent alloplasty with a synthetic mesh implant. Quality of life was assessed using the SF-36 questionnaire at 1, 6, and 12 months after surgery. The following parameters were analyzed: physical functioning (PF), role physical functioning (RP), bodily pain (BP), general health (GH), vitality (VT), social functioning (SF), role emotional functioning (RE), and mental health (MH).
Results: Patients who underwent autodermoplasty demonstrated a more pronounced positive dynamic across most SF-36 scales. At 12 months, mean physical functioning scores were 79.3 ± 9.8 in the autodermoplasty group versus 65.1 ± 10.7 in the mesh implant group (p < 0.001); bodily pain — 82.1 ± 8.6 vs. 68.3 ± 9.5 (p < 0.01); general health — 74.8 ± 8.7 vs. 64.1 ± 8.9 (p < 0.01). The incidence of postoperative complications was lower in the main group (11.9% vs. 23.1%). Hernia recurrence within 12 months was observed in two patients from the control group and was not recorded in the main group.
Conclusion: Autodermoplasty is an effective method of anterior abdominal wall reconstruction that provides higher quality of life, lower complication rates, and better functional outcomes compared to mesh implantation. The use of the patient’s own tissues helps reduce pain, accelerate recovery of physical activity, and improve overall psychoemotional well-being in the postoperative period.
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Kazangapov R.S., Kazangapova A.D., Imangazinova S.S., Kairkhanov E.K., Omarov N.B., Tashtemirova O.G., Abiltaev A.M., Mamirov E.D., Suleimenov A.K., Abdrakhmanov S.T., Masalov A.E. Evaluation of Quality of Life in Patients After Surgical Treatment of Postoperative Ventral Hernias // Nauka i Zdravookhranenie [Science & Healthcare]. 2025. Vol.27 (5), С.78-86. doi 10.34689/SH.2025.27.5.010Related publications:
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